| Rapid sequence intubation without a neuromuscular blocking agent in a 14-year-old female patient with myasthenia gravis. | |
| | |
MedLine Citation:
|
PMID: 17263747 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The anesthesia care of a 14-year-old female patient with an acute exacerbation of myasthenia gravis (MG) and a full stomach who required emergency surgery for placement of a hemodialysis catheter is described. A nonventilated rapid sequence induction was successful with the use of propofol, lidocaine, remifentanil, cricoid pressure and no neuromuscular blocking agent. Although the use of combinations of i.v. anesthetic agents have been suggested for tracheal intubation without the need for neuromuscular blocking agents, none of these techniques has been advocated for rapid sequence intubation. We review existing literature on the topic of tracheal intubation using remifentanil and propofol without a neuromuscular blocking agent and on the topic of tracheal intubation of patients with MG using i.v. anesthesia and no neuromuscular blocking agents. |
| | |
Authors:
|
George D Politis; Joseph D Tobias |
Related Documents
:
|
8565507 - Factors associated with early onset pneumonia in the severely brain-injured patient. 19293707 - Use of the pentax-aws in 293 patients with difficult airways. 21543157 - A preliminary investigation of the reinnervation and return of sensory function in burn... 2791687 - Laryngeal complications of prolonged intubation. 1558417 - Delayed gastric emptying after roux-en-y due to four types of partial obstruction. 7830327 - Atrial demand pacing in patients with symptomatic sick sinus syndrome. |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Paediatric anaesthesia Volume: 17 ISSN: 1155-5645 ISO Abbreviation: Paediatr Anaesth Publication Date: 2007 Mar |
Date Detail:
|
Created Date: 2007-01-31 Completed Date: 2007-04-16 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9206575 Medline TA: Paediatr Anaesth Country: France |
Other Details:
|
Languages: eng Pagination: 285-8 Citation Subset: IM |
Affiliation:
|
Department of Anesthesiology, University of Virginia Health System, Charlottesville, VA, USA. gdp8a@virginia.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Anesthesia / methods* Catheterization Female Humans Intubation, Intratracheal / instrumentation*, methods Monitoring, Physiologic Myasthenia Gravis / complications Neuromuscular Blockade / adverse effects, contraindications* Outcome Assessment (Health Care) Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Postoperative neuroleptic malignant syndrome that occurred repeatedly in a patient with cerebral pal...
Next Document: Effectiveness of Arndt endobronchial blockers in pediatric scoliosis surgery: a case series.